Provider Demographics
NPI:1932483500
Name:HASKINS, KATHRYN A (PT)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:A
Last Name:HASKINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8205 PRESIDENTS DR
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8621
Mailing Address - Country:US
Mailing Address - Phone:717-839-2125
Mailing Address - Fax:717-565-1104
Practice Address - Street 1:244 ROUTE 206
Practice Address - Street 2:SUITE 3
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-9199
Practice Address - Country:US
Practice Address - Phone:973-598-3077
Practice Address - Fax:973-598-3097
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01419200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist